Program Specialist| US Healthcare| Hyderabad| Night Shift

1 - 3 years

1.75 - 5.0 Lacs P.A.

Hyderabad

Posted:Invalid date| Platform: Naukri logo

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Skills Required

Eligibility VerificationCustomer ServiceInsurance VerificationVoice ProcessPrior Authorizationpatient access programInsurance ClaimsMedicarebenefits investigationUS Healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

As a Program Specialist, you'll play a vital role in ensuring accurate patient information for the insurance reverification. You'll be responsible for: Outbound Calling: Conducting calls to payers to verify medication details, costs, and eligibility for coverage. Benefits Investigation: Working closely with doctor's offices to investigate insurance benefits and coordinate prior authorizations. Patient Assistance: Providing comprehensive support to patients, including identifying alternative coverage options and tracking prescription orders. Key Responsibilities Document calls and efficiently handle escalations. Conduct insurance verifications and coordinate prior authorizations. Process patient applications and follow up on inquiries. Liaise with distributors and manufacturers for product requests. Coordinate prescription transfers to specialty pharmacies. Educate patients on available insurance options. Assist with training new team members. Maintain a professional and friendly Demeanor. Qualifications: Graduation- Bachelors degree 1-year minimum Customer service, healthcare preferred Insurance benefits verification experience Previous International Call center experience (Outbound) Experience with benefits investigation, Experience working remotely in US shift (6pm- 3am) Computer/technology experience Strong communication skills

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